045L3ZZDestruction of Left Femoral Artery, Percutaneous Approach
- Billable / Specific Code
045L3ZZ is a billable ICD-10-PCS procedure code for Destruction of Left Femoral Artery, Percutaneous Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 12 MS-DRGs. The root operation Destruction involves physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Saphenous vein harvest and other therapeutic vessel removal.
Code Identity
PCS Table Breakdown
Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.
| Position | Designation | Value | Meaning |
|---|---|---|---|
| 1 | Section | 0 | Medical and Surgical |
| 2 | Body System | 4 | Lower Arteries |
| 3 | Operation | 5 | Destruction |
| 4 | BodyPart | L | Femoral Artery, Left |
| 5 | Approach | 3 | Percutaneous |
| 6 | Device | Z | No Device |
| 7 | Qualifier | Z | No Qualifier |
In the ICD-10-PCS Alphabetic Index
These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:
To code destruction of the left femoral artery, open the FY 2027 ICD-10-PCS Alphabetic Index at Destruction, then the subterms Artery, Femoral, Left. The index leads to table 045, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 045L3ZZ.
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 045L3ZZ
Is 045L3ZZ a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Destruction of Left Femoral Artery, Percutaneous Approach on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 045L3ZZ mean?
The code breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character 4 is the Body System (Lower Arteries); the 3rd character 5 is the Operation (Destruction); the 4th character L is the BodyPart (Femoral Artery, Left); the 5th character 3 is the Approach (Percutaneous); the 6th character Z is the Device (No Device); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 045L3ZZ group to?
On an inpatient stay, Destruction of Left Femoral Artery, Percutaneous Approach maps to MS-DRGs 252, 253, 254, 628, 629, 630, 907, 908, 909, 957, 958, 959, with relative weights from 1.3715 to 7.5502. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of 045L3ZZ?
Under the General Equivalence Mappings, Destruction of Left Femoral Artery, Percutaneous Approach crosswalks to ICD-9-PCS 38.68 (Other excision of vessels, lower limb arteries). The mapping is approximate, so confirm it fits the documentation.
